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General NPI Number Information
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NPI Number | 1770814170
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Entity Type | Organization
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Legal Business Name | MIGUEL ANGEL MOLINAS MD PA
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 01/25/2010
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Provider Practice Location Address
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Address Line | 5235 SOUTHMOST RD STE A
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City | BROWNSVILLE
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State | TX
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Zip | 78521-8056
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Country | US
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Telephone | 956-544-0977
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Fax | 956-544-0992
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Provider Business Mailing Address
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Address Line | PO BOX 3492
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City | BROWNSVILLE
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State | TX
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Zip | 78523-3492
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Country | US
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Telephone | 956-550-9400
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Fax | 956-544-0992
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIGUEL ANGEL MOLINAS
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Credential | MD
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Telephone | 956-544-0977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K1571
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License Number State | TX
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